Starting February 1, Cigna will no longer require preauthorization for CT angiography (CTA) of the heart, coronary arteries, and bypass grafts with contrast material including 3D image postprocessing.
Cigna's new policy change adds coverage of cardiac structure and morphology evaluation, cardiac function assessment, and evaluation of venous structures, if performed.
Among other policy changes at Cigna, fractional flow reserve CT no longer requires preauthorization either. Lastly, the firm removed preauthorization requirements for Current Procedural Terminology code 75574 in all markets with Cigna eviCore healthcare except for Hawaii, Puerto Rico, and Guam.
Of course, patients must meet certain requirements to qualify for these procedures including having stable chest pain and intermediate risk of coronary artery disease, Cigna said.
![Axial images from unenhanced calcium score cardiac CT (left) and curved planar reformation images from CT angiography (right) show that higher long-term exposure to air pollution is associated with greater coronary artery calcium and more obstructive coronary artery disease (CAD). Top row: Images in a 68-year-old male patient with higher 10-year mean ambient air pollution exposure (7.9 μg/m3 for particulate matter measuring ≤2.5 μm in diameter [PM2.5] and 17.4 parts per billion [ppb] for NO2) with extensive CAD (coronary artery calcium score [CACS] >1,000 and obstructive CAD [≥70% diameter stenosis]). Bottom row: Images in a 57-year-old female patient with lower 10-year mean ambient air pollution exposure (6.3 μg/m3 for PM2.5 and 4.6 ppb for NO2) with no CAD (CACS = 0 and no obstructive stenosis).](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/06/hanneman.r6SMLzkezo.png?auto=format%2Ccompress&dpr=2&fit=crop&h=167&q=70&w=250)
